Individual
DR. SUSAN JEAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1705 ST MARY STREET, KNOXVILLE, TN 37917
(865) 370-2125
(865) 370-2160
Mailing address
1705 ST MARY STREET, KNOXVILLE, TN 37917
(865) 370-2125
(865) 370-2160
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11835
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-0541367
T.I.N.
—
Enumeration date
09/13/2006
Last updated
09/26/2025
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